Blue Island Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009681 Issued in IL

Legal business name

BLUE ISLAND CHIROPRACTIC, PC

Practice address

13000 Maple Ave
Blue Island, IL 60406-2318

Phone

(708) 371-0410

Fax

(708) 385-2051

NPI assigned

Mar 25, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Patrick Kane, DC

Title

President

Phone

(708) 371-0410

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1356640593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062318",
            "telephone_number": "708-371-0410",
            "fax_number": "708-385-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 MAPLE AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062318",
            "telephone_number": "708-371-0410",
            "fax_number": "708-385-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ISLAND CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-371-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmitry Belchenko, MD
• Beloved Community Family Wellness Center
• Janet Lou Biscan, MA, NCC, LCPC
• Christine Pabin Bishof, MD
• Victoria Blackmon, OCCUPATION THERAPY
• Blue Island Citizens for Persons With Developmental Disabilities (Blue Cap)
• Blue Island Clinic Company LLC
• Blue Island Counseling LLC
• Blue Island HBP Medical Group LLC
• Blue Island Home Care Services LLC (MetroSouth Hospice)

• Chiropractor in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.